| NPI | 1497291512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTI S EPPANAPALLY Owner 972-941-2961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NJ 25MA68664) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |